Clinical opportunities

Clinical Opportunities

Inpatient Experience (Medical Students and Residents)

These four weeks blocks are typically taken during the 3rd or 4th year of medical school and R2 or R3 year of residencyl. They consist of a mix of inpatient and outpatient assignments with exposure to a broad range nephrology patients and education. Nephrology electives can be arranged at the University of Washington Medical Center, Harborview Medical Central and the Seattle VA.

Outpatient Experience (Medical Students)

There are a range of nephrology opportunities available in the outpatient setting. These include:
  1. Daily clinic visits (single to several days)
  2. Longitudinal clerkships/Preceptorships (regular clinic one day per week x 8 weeks)
  3. Outpatient clinical electives (2-4 weeks outpatient experience 3-4 days per week)

Outpatient Experience (Residents)

These four weeks blocks are typically taken during the PGY2 and PGY 3 residency training years. The Nephrology clinic block rotation will provide residents with a broad exposure to outpatient general nephrology. There will be opportunities to gain proficiency in the common nephrology problems that internists will encounter in their practice: acute deterioration in kidney function, nephrolithiasis, difficult to control hypertension, electrolyte derangements, proteinuria, hematuria, glomerular disease, and the management of chronic kidney disease. There will be ample opportunity to also interpret urine sediment findings.

The resident will gain knowledge in the timing of nephrology referral, dialysis modality selection, and the important aspects of the care of patient on both hemo- and peritoneal dialysis. The resident will learn about the work-up prior to transplantation and the important aspects of immunosuppressive therapy and post-transplant care.

The curriculum will include a review of pertinent nephrology and hypertension articles. Residents will participate in relevant and practical conferences geared toward their level of experience if they are so inclined to participate.

The rotation will include clinics at HMC, UW and the VA. Brief lectures will be given each week at the three sites (approximately15 minutes) to lay a strong foundation in the basic principles. The resident will be assigned an attending director/mentor for the month that will be available for feedback and coordination of activities. The resident will have an opportunity to write a case report from an existing case of interest seen by a nephrology team during or prior to the rotation. This is self-initiated but support will be provided by any of the attendings.

Contact Information: If you are interested in a nephrology outpatient experience please contact Krista Forsyth Fisher, Nephrology Medical Student and Residency Coordinator